Department of Plastic and Reconstructive Surgery, Tokyo Medical University Hospital, Japan.
Int Wound J. 2012 Dec;9(6):643-9. doi: 10.1111/j.1742-481X.2011.00932.x. Epub 2012 Jan 17.
There is still no objective method or reliable device to measure and assess the physical properties of keloid and hypertrophic scars. Using the Vesmeter, we measured the physical properties of keloid and hypertrophic scars, and investigated how their physical properties changed during the process of clinical follow-up. We followed up 11 patients with keloid (n = 6) and hypertrophic (n = 5) scars for 4 months, and measured their physical properties three times over a 2-month period using the Vesmeter. Measurements included hardness, elasticity, penetration depth, relaxation time, viscosity and viscoelastic ratio. All physical properties were measured simultaneously while an indenter was pressed onto the lesion and digitalise the measured data by analysing the wave forms of the lesion's surface behaviour. Data collection was repeated three times for each measurement point, and the average of these three values was used. Overall hardness and viscosity decreased in nine patients, whereas penetration depth increased in nine. Relaxation time decreased in nine patients and elasticity increased in six. Vesmeter was considered to be an objective, convenient and comparatively reliable measuring device for the quantification of the physical properties of keloid and hypertrophic scars.
目前尚无客观的方法或可靠的设备来测量和评估瘢痕疙瘩和增生性瘢痕的物理特性。我们使用 Vesmeter 测量了瘢痕疙瘩和增生性瘢痕的物理特性,并研究了它们的物理特性在临床随访过程中的变化。我们对 11 名瘢痕疙瘩(6 例)和增生性瘢痕(5 例)患者进行了为期 4 个月的随访,在 2 个月的时间内使用 Vesmeter 对其物理特性进行了 3 次测量。测量包括硬度、弹性、穿透深度、松弛时间、粘度和粘弹性比。当压痕器压在病变部位上时,所有的物理特性都会同时被测量,并通过分析病变表面行为的波形来数字化测量数据。每个测量点重复采集 3 次数据,取这 3 个值的平均值。9 名患者的整体硬度和粘度降低,9 名患者的穿透深度增加。9 名患者的松弛时间减少,6 名患者的弹性增加。Vesmeter 被认为是一种客观、方便且相对可靠的测量设备,可用于量化瘢痕疙瘩和增生性瘢痕的物理特性。